Judith Ann Johnson X, MS, LCPC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC2412 Issued in MD

Practice address

10201 Baltimore Ave
Apt # 1503
College Park, MD 20740-4216

Phone

(240) 793-2269

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utopian Institute of Family Living LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1457053787

  DC

  Medicare reassignment NPD
• All Thats Therapeutic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1548270663

  DC

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1720274632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 BALTIMORE AVE",
            "address_2": "APT # 1503",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404216",
            "telephone_number": "240-793-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 BALTIMORE AVE",
            "address_2": "APT # 1503",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404216",
            "telephone_number": "240-793-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "MS, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren P Jefferson
• Mary J Jelacic, LCSW
• Olusola Olawale Jibodu
• Denesha Jiles, RMP
• Christina Jo, PHARM.D.
• Regina Johnson, PHARM.D
• Aisha Latisha Jones
• Cathy Mae Jones, CSC-AD
• Leila H Jones, PH.D.
• Thomas Roger Jordan

• Professional Counselor in College Park, MD
• Providers in College Park, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.